前列腺增生电切术患者心理弹性现况及相关影响因素  

Mental Resilience Status and Related Influencing Factors in Patients Undergoing Electroresection for Hyperplasia of Prostate

作　　者：史雪 SHI Xue(Department of Urology,Xinyang Central Hospital,Xinyang Henan 464000,China)

机构地区：[1]信阳市中心医院泌尿外科,河南信阳464000

出　　处：《临床研究》2023年第10期163-167,共5页Clinical Research

摘　　要：目的研究前列腺增生电切术患者心理弹性现况及相关影响因素。方法选取2016年1月至2020年10月在信阳市中心医院诊治的320例前列腺增生电切术患者进行前瞻性研究,统计所有研究对象心理弹性量表(CD-RISC)和特质应对方式(TCSQ)评分,分析CD-RISC评分与应对方式的相关性;分析320例前列腺增生电切术患者CD-RISC评分与临床资料的相关性。结果前列腺增生电切术患者CD-RISC总分为(63.26±10.26)分,其中坚韧、自强、乐观的评分分别为(27.26±6.49)分、(23.65±3.66)分、(12.55±4.32)分;TCSQ问卷评分中积极应对、消极应对评分分别为(30.45±5.15)分、(23.54±3.36)分;CD-RISC评分中坚韧、自强、乐观及总分与TCSQ问卷评分中的消极应对均为负相关关系(r=-0.415、-0.423、-0.329、-0.569,P<0.05),与积极应对均呈正相关关系(r=0.638、0.721、0.635、0.539,P<0.05)。病程、疾病严重程度、文化程度、月均收入水平、医疗付费方式、病情了解程度是影响前列腺增生电切术患者心理弹性的相关因素,差异有统计学意义(P<0.05)。多因素分析显示,文化程度、月均收入水平是影响前列腺增生电切术患者心理弹性的危险因素,差异有统计学意义(OR=1.526,1.224,P<0.05)。结论前列腺增生电切术患者的心理弹性水平较低,与患者的应对方式有直接的关系;受教育程度低、家庭平均收入较低是影响心理弹性的重要因素;临床医护人员应及时给予患者健康教育,针对患者实际情况,制定个性化的干预措施,促进其身心康复,早期回归正常的生活和工作。Objective To study the psychological resilience status and related influencing factors of patients with prostatic hyperplasia undergoing electroresection.Methods From January 2016 to October 2020,320 patients with prostatic hyperplasia who underwent electrodesurgery in Xinyang Central Hospital were selected for prospective study.The scores of the con-davidson resilience scale(CD-RISC)and trait coping style(TCSQ)of all subjects were counted,and the correlation between CDRISC score and coping style was analyzed.The correlation between the CD-RISC score and clinical data of 320 patients with prostatic hyperplasia undergoing electroresection was analyzed.Results The total score of CD-RISC in patients with BPH was(63.26±10.26),and the scores of tenacity,self-reliance,and optimism were(27.26±6.49),(23.65±3.66)and(12.55±4.32),respectively.In the TCSQ questionnaire,the positive and negative coping scores were(30.45±5.15)and(23.54±3.36)respectively.Resilience,self-reliance,optimism,and total scores in CD-RISC scores were negatively correlated with negative coping in TCSQ scores(r=-0.415,-0.423,-0.329,-0.569,P<0.05).It was positively correlated with active coping(r=0.638,0.721,0.635,0.539,P<0.05).In the TCSQ questionnaire,the positive and negative coping scores were(30.45±5.15)and(23.54±3.36)respectively.Resilience,self-reliance,optimism,and total scores in CD-RISC scores were negatively correlated with negative coping in TCSQ scores(r=-0.415,-0.423,-0.329,-0.569,P<0.05).It was positively correlated with active coping(r=0.638,0.721,0.635,0.539,P<0.05).The course of disease,severity of disease,education level,average monthly 164 Clinical Research,Oct.2023,Vol.31 No.10 income level,medical payment method,and understanding degree of disease were the relevant factors affecting the psychological resilience of patients undergoing electroresection of prostate hyperplasia,and the difference was statistically significant(P<0.05).Multivariate analysis showed that education level and average monthly income were risk factors f

关 键 词：心理弹性 前列腺增生 电切术 影响因素 应对方式 心理弹性量表 特质应对方式 

分 类 号：R473[医药卫生—护理学]